The nurse is assessing a client's thyroid. The nurse determines the client's thyroid is non-palpable and non-tender. Which is the best explanation of these findings?

The client should be placed on levothyroxine

The client will need a removal of the thyroid gland

This is a normal finding

The nurse did not complete the assessment correctly

Answer and Explanation

The Correct Answer is C

Choice A reason: Levothyroxine treats hypothyroidism, but a non-palpable, non-tender thyroid is normal, not indicating low hormone needing replacement, so this is unnecessary.

Choice B reason: Thyroidectomy addresses hyperthyroidism or masses, not a non-palpable, non-tender gland, which is physiologically normal, making surgery irrelevant here.

Choice C reason: A healthy thyroid is typically non-palpable and non-tender, indicating no enlargement or inflammation, aligning with normal anatomy, so this is correct.

Choice D reason: Proper assessment finds a non-palpable thyroid as normal; suggesting error assumes pathology without evidence, when findings match expected norms.

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Correct Answer is A

Explanation

Choice A reason: Total output is hemodialysis (4000 mL) + Jackson Pratt (20 mL) + urine (100 mL) + nasogastric (325 mL) = 4445 mL, accurately summing all fluid losses recorded.

Choice B reason: 4000 mL only accounts for hemodialysis, ignoring Jackson Pratt (20 mL), urine (100 mL), and nasogastric (325 mL), underestimating total output significantly.

Choice C reason: 4250 mL likely omits nasogastric (325 mL) or miscalculates, as 4000 + 20 + 100 + 325 = 4445 mL, missing part of the recorded fluid loss.

Choice D reason: 4500 mL overestimates; 4000 + 20 + 100 + 325 = 4445 mL, suggesting an error in adding an extra 55 mL not documented in outputs.

A. The hemodialysis client who is experiencing anuria B. The client diagnosed with cirrhosis who is complaining of itching C. The client diagnosed with peripheral arterial disease who is complaining of pain when walking D. The client diagnosed with lupus who is complaining of chest pain

Correct Answer is D

Explanation

Choice A reason: Anuria in hemodialysis is expected due to renal failure; it’s not acute unless accompanied by distress, less urgent than chest pain’s potential severity.

Choice B reason: Itching in cirrhosis from bile salts is uncomfortable but not life-threatening, ranking below chest pain, which could indicate critical cardiac or pulmonary issues.

Choice C reason: Pain when walking in PAD (claudication) is chronic and stable, not an immediate threat compared to chest pain, which requires urgent evaluation.

Choice D reason: Chest pain in lupus may signal pericarditis or pleuritis, potentially life-threatening complications, prioritizing assessment for rapid intervention over stable conditions.

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The nurse is assessing a client's thyroid. The nurse determines the client's thyroid is non-palpable and non-tender. Which is the best explanation of these findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is caring for clients on a medical floor. Which client should be assessed first?

Correct Answer is D

Explanation

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A goiter is characterized by which of the following?

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